Dental Insurance Plans Operations Specialist

ProSmile Holdings, LLC; United States; Remote; USD 45,000 - 65,000; Full time

Job summary

ProSmile Holdings, LLC seeks a detail‑oriented Insurance Billing Administrator to manage daily operations of dental insurance plans. You will create fee schedules, coordinate with insurers, and input patient insurance data into the Practice Management System.

Ideal candidates have 2–4 years in dental insurance billing, proficiency in Dentrix Enterprise/SOE, and strong communication and organizational skills to support accuracy and timely processing.

Qualifications

• Proficient in Microsoft Office, Excel, SharePoint and must have experience using website or software applications to find, review, edit and submit insurance applications.
• Required experience: 2-4 years of dental insurance and billing experience, preferably dental insurance.
• Software experience: Dentrix Enterprise/SOE software.

Responsibilities

• Create and update Insurance Fee Schedules, Plans, and rules in Practice Management Systems.
• Contact insurance companies annually or as needed to ensure Fee Schedules are up to date.
• Process and input patients' insurance breakdown into the system.
• Set up insurance payers on EFT/ERA with each carrier if available.
• Set up Insurance Websites and assist with insurance file maintenance.
• Assist with the third-party verification team and special projects as directed.

Skills

Dental insurance billing

Data analysis

Time management

Communication

Tools

Dentrix Enterprise

SOE (Software of Excellence)

Microsoft Office

SharePoint

Job description

ProSmile Holdings, LLC seeks a detail‑oriented Insurance Billing Administrator to manage daily operations of dental insurance plans. You will create fee schedules, coordinate with insurers, and input patient insurance data into the Practice Management System.

Ideal candidates have 2–4 years in dental insurance billing, proficiency in Dentrix Enterprise/SOE, and strong communication and organizational skills to support accuracy and timely processing.